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Closing the gap Health Inequalities in Highland. Dr. Margaret Somerville Director of Public Health . Why are we interested in health inequalities. Male life expectancy at birth. Male life expectancy at birth. All cause mortality for all ages and both sexes rates per 100,000 population .
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Closing the gapHealth Inequalities in Highland Dr. Margaret Somerville Director of Public Health
All cause mortality for all ages and both sexes rates per 100,000 population
All cause mortality for all ages and both sexes rates per 100,000 population
What contributes to the gap in life expectancy? All circulatory disease (CHD and stroke) and all cancers together account for 40-50% of the gap The contribution from CHD has reduced slightly over time while the proportion of the gap due to cancer has increased Other contributors include respiratory and digestive diseases and external causes Diseases due to alcohol and smoking are major contributors to the gap
Coronary Heart Disease mortality for all ages and both sexes rates per 100,000 population
Coronary Heart Disease mortality for all ages and both sexes rates per 100,000 population
Cancer mortality for all ages and both sexes rates per 100,000 population
Cancer mortality for all ages and both sexes rates per 100,000 population
Lung Cancer mortality for all ages and both sexes rates per 100,000 population
Lung Cancer mortality for all ages and both sexes rates per 100,000 population
Local health inequalities in NHS Highland Areas within NHS Highland, that consistently appear among the most health deprived and the least health improved on multiple measures include: Inverness Merkinch Wick South Helensburgh East Oban South Dunoon Campbeltown Inverness Muirtown Inverness Central and Raigmore Invergordon Fort William North Insert pics – Merkinch? FW? Wick Pulteney Town?
What income do people need to achieve a socially acceptable standard of living in Grantown on Spey or Brora*? * Minimum income standard for average urban and rural settlements
The Highland Council Annual Survey of Performance & Attitudes: Social Capital • 68% of respondents believe the area where they live provides them with a sense of belonging to a community • 52% of respondents don’t feel involved in their local community • People who tended to feel uninvolved in community life were: people who are unable to work and recent migrants to the area
Focussed community work to reduce inequalities Keep Well health checks Highland Council preventative spend Assets-based approach
Summary Health Inequalities still widening across Highland Many projects and targeted work in progress and presented here today But vital that the work is sustained, embedded and coordinated Enjoy the day!